Organization
RONALD W. SMITH, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD W. SMITH (DENTIST)
(617) 492-1106
Entity
Organization
Contact information
Practice address
1749 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-2217
(617) 492-1106
(617) 661-1555
Mailing address
1749 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-2217
(617) 492-1106
(617) 661-1555
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12016
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9795286
MASSHEALTH
MA
Enumeration date
09/23/2008
Last updated
09/23/2008
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